NPIMap

Organization Active NPI

Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
National Provider Identifier
1104059153
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
110000375 Issued in CA
Legal business name
SUTTER BAY HOSPITALS
Practice address
180 Rowland Way
Novato, CA 94945-5009
Phone
(415) 600-7776
Fax
(415) 600-7776
NPI assigned
Aug 25, 2009
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John B. Gates
Title
Cfo
Phone
(510) 450-7357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 110000375 CA Primary
General Acute Care Hospital 282N00000X CA

Addresses

Primary practice location

180 Rowland Way
Novato, CA 94945-5009

Mailing address

PO Box 742412
Los Angeles, CA 90074-2412
Phone (855) 398-1633

Other names 1

  • Sutter West Bay Hospitals Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050517000547 CA Part B Supplier - Clinic/Group Practice 3476506528 Receives reassigned benefits from 144 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castro Valley, CA; Santa Rosa, CA; San Leandro, CA; San Francisco, CA; Oakland, CA; Lakeport, CA; Berkeley, CA; Burlingame, CA…
O20091019000179 CA Part A Provider - Hospital 3476506528 Practice locations: Novato, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104059153. Details of each certification follow.

Hospital certification: CCN 050131

Legal name
SUTTER BAY HOSPITALS
Doing business as
NOVATO COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 20, 1977
Last certification
Aug 22, 2025
Beds
75
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2010 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 9, 1885 in CA
Enrollment address
180 Rowland Way
Novato, CA 94945-5009
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Novato Community HospitalCCN 050131 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0663151Sutter Novato Community Hospital180 Rowland Way, Novato, CA 94945AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630

599 Sir Francis Drake Blvd
Ste 202
Greenbrae, CA 94904
Phone (415) 461-1149

2 Bon Air Rd
Ste 120
Larkspur, CA 94939
Phone (415) 496-2812

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

180 Rowland Blvd
Novato, CA 94945
Phone (415) 209-1300

867 Diablo Ave
Novato, CA 94947
Phone (415) 892-0754

1100 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 558-7051

1580 Valencia St
Fl 4
San Francisco, CA 94110
Phone (415) 600-0110

750 Las Gallinas Ave
Ste 205
San Rafael, CA 94903
Phone (415) 472-3903

120 La Casa Via
Ste 101
Walnut Creek, CA 94598
Phone (925) 296-0344

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory Brown Individual Corporate DirectorBoard Member Jan 1, 2025
Jill M Kacher Cobb Individual Corporate DirectorBoard Member Jan 1, 2019
Theodore Deikel Individual Corporate DirectorBoard Member Jan 1, 2010
Janet Garufis Individual Corporate DirectorBoard Member Jan 1, 2025
Rita Ophelia Kwan-Feinberg Individual Corporate DirectorBoard Member Jan 1, 2025
Susan McCabe Individual Corporate OfficerSenior Director Accounting Jan 4, 2024
Juli Maxworthy Individual Corporate DirectorBoard Member Jan 1, 2025
Thomas Briody Individual Corporate DirectorBoard Member Jan 1, 2025
William L Brunetti Individual Corporate DirectorBoard Member Jan 1, 2025
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Jonathan Ma Individual Corporate OfficerCfo Jan 1, 2025
W-2 Managing Employee Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Lakeside HospitalLakeport, CA, CCN 051329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010
California Pacific Medical Center - Davies CampusSan Francisco, CA, CCN 056245 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 179

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 179

Affiliated clinicians 591

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 591

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1104059153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742412",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900742412",
            "telephone_number": "855-398-1633",
            "fax_number": "415-600-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ROWLAND WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455009",
            "telephone_number": "415-600-7776",
            "fax_number": "415-600-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER BAY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-450-7357"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "110000375",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter West Bay Hospitals",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sutter West Bay Hospitals",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.